A SIMPLIFIED TECHNIC FOR ABDOMINAL PANHYSTERECTOMY

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Abstract
For several years past I have been gradually perfecting a new operation for complete removal of the uterus by the abdominal route which possesses distinct advantages over the older procedures. The perfected operation has been repeatedly demonstrated to members of the resident staffs of the Johns Hopkins Hospital, the Hospital for the Women of Maryland and the Union Memorial Hospital, all Baltimore institutions. It has also been performed twice before visiting surgical societies at the Johns Hopkins Hospital. Pending completion of a survey of the literature and preparation of the artist's illustrations, the following preliminary outline of the operative steps is offered: TECHNIC OF THE OPERATION Preliminary surgical toilet of the vulva, vagina, cervix and abdominal walls is first instituted. A lower midline abdominal incision is then made from the symphysis to the umbilicus. Adequate exposure and isolation of the pelvis through the Trendelenburg posture is secured, together with the

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